Individual provider Active NPI

Devanshi Soni

  • Family Nurse Practitioner
  • Roanoke, VA
National Provider Identifier
1528823903
Registry record updated Mar 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024189054 Issued in VA
Practice address
5050 Carter Grove LN
Roanoke, VA 24012-8579
Phone
(973) 876-0633
NPI assigned
Feb 15, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024189054 VA Primary

Addresses

Primary practice location

5050 Carter Grove LN
Roanoke, VA 24012-8579

Mailing address

5050 Carter Grove LN
Roanoke, VA 24012-8579
Phone (097) 387-6063

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, NJ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240318003727 VA Practitioner - Nurse Practitioner 9234576810 Reassigns benefits to 1 organization
I20250515001802 NJ Practitioner - Nurse Practitioner 9234576810 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physiatry Consultants of NJ LLCGroup PAC ID 3375914419, 20 clinicians

Practice addresses (Care Compare)

336 Prospect Ave
Hackensack, NJ 07601-2506
Phone (201) 678-1800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
0024189054VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Physiatry Consultants of NJ LLC CurrentSince Mar 31, 2025 Accepting new patients
Universal Health Corporation CurrentSince Feb 4, 2024 Accepting new patients

Locations

415 W Golf Rd
Ste 26
Arlington Hts, IL 60005

336 Prospect Ave
Hackensack, NJ 07601
Phone (201) 678-1800

198 Stevens Ave
Jersey City, NJ 07305
Phone (201) 451-9000

84 Cold Hill Rd
Mendham Twp, NJ 07945
Phone (973) 543-2500

390 Red School Ln
Phillipsburg, NJ 08865
Phone (908) 859-0200

330 Franklin Tpke
Ridgewood, NJ 07450
Phone (201) 447-1900

1945 Roanoke Blvd
Salem, VA 24153
Phone (540) 345-3094

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1707955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709510400000",
    "number": "1528823903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5050 CARTER GROVE LN",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240128579",
            "telephone_number": "097-387-6063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5050 CARTER GROVE LN",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240128579",
            "telephone_number": "973-876-0633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SONI",
        "first_name": "DEVANSHI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-15",
        "last_updated": "2024-03-04",
        "certification_date": "2024-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024189054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roanoke, VA

Sources for this page

Verify at the official NPI Registry.